
340B Program Specialist (50652)
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Overview
Job Description
The 340B Program Specialist supports the integrity and efficiency of the organization's 340B program by auditing claims, submitting data to third-party administrators (TPAs), and assisting with ongoing compliance initiatives. This role ensures adherence to federal regulations and internal policies while optimizing program performance across pharmacy operations. This position will work closely with all pharmacy personnel (community and clinic), and finance department.
JOB RESPONSIBILITIES:
- Conducting routine and targeted claim audits to verify 340B eligibility and prevent diversion or duplicate discounts.
- Submitting and reconciling data files with TPAs to maintain timely and accurate replenishment.
- Assisting with policy and procedure maintenance to support ongoing compliance and HRSA readiness.
- Monitoring accumulator reports and transaction discrepancies for resolution.
- Collaborating with the Director(s) and finance teams to ensure accurate charge capture and savings realization.
- Supporting internal and external audit preparation, documentation, and corrective action follow-up.
- Participating in staff education and training related to 340B processes and compliance requirements.
- Monitors and audits state Medicaid claims to ensure compliance
- Reconciles contract pharmacy payments against revenue posted by Finance.
- Monitors Beacon MFP and 340B platforms for accurate payment and reconciliation
- Maintains compliance standards in accordance with the Compliance policies and the Code-of-Conduct. Reports compliance problems appropriately.
- Complies with all state and federal laws and regulations.
- All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).
- Performs other duties as assigned.
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